Dominique Ganier Dorsey, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

210809 Issued in LA

Practice address

2331 Carey St
Slidell, LA 70458-3627

Phone

(985) 646-6406

Fax

(985) 646-6460

NPI assigned

Jan 16, 2020

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Human Services District

  dba New Orleans East Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1790990604
  Medicare reassignment NPD
• Village of Hope Inc

  dba The Village of Hope Inc

  • Community/Behavioral Health Agency
  • Slidell, LA
  • NPI 1982480588
  Medicare reassignment NPD
• Metropolitan Human Services District

  dba Chartres - Pontchartrain Behavioral Health Center

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1760511919
  NPD
• Modern Psychiatry, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longwood, FL
  • NPI 1225725690
  NPD
• Metropolitan Human Services District

  dba Algiers Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1316166036
  NPD (past)
• Metropolitan Human Services District

  dba Central City Behavior Health Clinic

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1942428750
  NPD (past)
• Metropolitan Human Services District

  dba St. Bernard Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Arabi, LA
  • NPI 1972721017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1578193603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 CAREY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583627",
            "telephone_number": "985-646-6406",
            "fax_number": "985-646-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 CAREY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583627",
            "telephone_number": "985-646-6406",
            "fax_number": "985-646-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42367 Deluxe Plaza",
            "address_2": "Suite 30",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "70403",
            "country_code": "US",
            "telephone_number": "985-345-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "DOMINIQUE",
        "middle_name": "GANIER",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "210809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lawrence Donaldson Jr., DDS
• Jill M Donaldson, DDS
• Katelynn Marie Donnelly
• Jennifer Dorion, LCSW
• Dorsey & Brewster Transportation, LLC
• Meisha Doss, PHARMD
• Torrie Douglas
• Dr Lisa Ann Loescher & Associates Family Dentistry LLC
• Dr. Steve J. Watson &Dr. William H. Dabdoub, Apmc (Associated Foot Surgeons)
• Gary Joseph Dragon Jr., PT

• Psychiatric/Mental Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.